Organization
OMNIVAS NWI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAND HOODBHOY (CREDENTIALER)
(702) 858-7376
Entity
Organization
Contact information
Practice address
8127 MERRILLVILLE RD STE 1, MERRILLVILLE, IN 46410-6306
(260) 333-1805
(702) 991-7258
Mailing address
8127 MERRILLVILLE RD STE 1, MERRILLVILLE, IN 46410-6306
(260) 333-1805
(702) 991-7258
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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